| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.89 | $33.88 | $114.82 | |
Ambetter
| Professional | $16.98 | $22.91 | $39.81 | |
Anthem BCBS
| Professional | $22.39 | $30.20 | $44.67 | |
Cigna
| Professional | $22.39 | $31.62 | $52.48 | |
Hometown Health
| Professional | $0.30 | $27.54 | $50.12 | |
Hometown Health
| Professional | $0.30 | $0.30 | $47.86 | |
Select Health
| Professional | $19.50 | $31.62 | $31.62 | |
United
| Professional | $22.91 | $36.31 | $54.95 |